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. Author manuscript; available in PMC: 2014 Sep 10.
Published in final edited form as: Cochrane Database Syst Rev. 2010 Jan 20;(1):CD007130. doi: 10.1002/14651858.CD007130.pub2
Methods RCT parallel group
Participants n = 66 patients in Home-based CR group (33 in brief exercise programme subgroup & 33 inextended subgroup); n = 61 patients in Centre-based CR group (31 in brief subgroup & 30 in extended subgroup); 100% uncomplicated acute MI; mean age 52 (SD 9); 100% male
Inclusion: Uncomplicated AMI (elevated serum creatinine kinase or oxaloacetic transamianase, prolonged chest pain consistent with AMI, new Q waves or evolutionary ST changes in ECG)
Exclusion: Unable to undertake exercise test, congestive heart failure, unstable angina pectoris, valvular heart disease, atrial fibrillation, bundle branch block, history of bypass, stroke, orthopaedic abnormalities, peripheral vascular disease, chronic pulmonary obstructive disease, obesity
Interventions Home-based CR (intervention):
Exercise: Overall duration: 8 wks (brief) or 23 wks (extended), Frequency: 5 sessions/wk; Duration: 30 mins/session; Intensity: 70-85% HRmax; modality: stationary cycling. Portable heart rate monitors & teletransmissions of ECG; 2 phone calls/wk by staff to verify training intensity, clinical status and medication
Other: No education or psychological intervention reported
Centre-based CR (control):
Exercise: Overall duration: 8 wks (brief) or 23 wks (extended), Frequency: 5 sessions/wk; Duration: 60 mins/session; intensity: 70-85% HRmax; modality: walking/jogging. Group based & supervised
Other: No education or psychological intervention reported
Outcomes Exercise capacity; mortality & cardiovascular morbidity
Follow up 23 weeks post randomisation
Subgroup analyses Yes. Results reported according to the two subgroups reported i.e. brief vs extended exercise training
Country & settings USA, single hospital centre
Notes Results of two subgroups included into analysis separately
Risk of bias
Bias Authors’ judgement Support for judgement
Adequate sequence generation? Unclear risk Not reported
Allocation concealment? Unclear risk Not reported
Blinding?
All outcomes
Unclear risk Not reported
Incomplete outcome data addressed?
All outcomes
Low risk Drop out reported. No imputation of missing data discussed.
Effect of incomplete outcome data likely to be small
Free of selective reporting? Low risk All outcomes described in the methods section are reported in the results
Groups balanced at baseline? Unclear risk Baseline characteristics not reported
Intention to treat analysis? Low risk Term ‘intention to treat analysis’ not stated directly, but results appear to be presented according to original random allocation.
This is further supported by a trial flow diagram in the paper
Groups received same intervention? Low risk Both home and centre groups were very closely balanced in terms of the exercise training received